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HomeMy WebLinkAboutPermit Signage 2001-3-26 , . Job# 01-00286-01 . '~ , . , Page.1 of 2 TRANS#:01-0004762 DATE:MAR 26 2001 AMT RECD:2 $ 180.00 CHANGE: CASHIER: 032 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00286-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1926 Marcola ~j) Spr Assessors Map#: 17032523 Lot: Block: Addition: Tax Lot #: 00100 Subdivision: * Owner: Thang Van Nguyen 1926 Marcola Road Phone Number: 541-746-8039 Address: City/State/Zip: Springfield, OR 97477 Value: $0 Scope Of Work: Banner New Nail & Tan Banner Dates march 26, through April 8th, 2001. Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: Required Inspections I Sign I , ~~. . -After all required inspections are conducted and,approv!,!d and the sign installationl~ complete. . . ~ . I -. ), '~l 'Lf11(.~,!,u, '_ -, ; .,'r-.'JOr,Utiiir.. ........../..., rl OA;;tJ;:'~'L!OHJU'I' ;],' 'I'~ Ct' ~.1l:'" J090, yo~' na" ')L.t .CJ" 10/;gi. ),-1,-1 ~o2-lJt.I . r, !:ur "'l"",o~ .', call,,,!-- ,;1< .>n' ,. 1, n- "'JI~s 0 nUdlbt..t ,.... ..:....j-'_"I\Jur..: .,:.,1..: le-Iapnone . HelghtJ!eet). -,I'), - "':1' '''otificalior Proposed Units: . . . . , # Of Stories: Current Units: Census Code: Does not apply Final Sign Total: Sign District: Type of Sign: Face Type: rSign ~'..., "i~ "-NOTICE: . . Vertical: TI-lIC: pl=l=l~n?r'~~'AtctEXPiRE IFTHE WOiJ:!1.lckness: Height (Above Grade)i\UTHORIZED UNDER THIS PERMIT IS Ni=r'om Grade To Bottom: Sqr. Footage: !:QMMENCED OR IS ABANDONED FOR Sign Material: Illumination? IJN 180 DAY PERIOD. Comments: . Job# 01-00286-01 . Page 2 of2 v- \ Fee Paid On Receipt# Value/Quantity Fee Amount r Sign 03/26/2001 03/26/2001 4762 4762 1 1 $80.00 $100.00 $180.00 $180.00 Banner Permit Deposit for Banner/Blimp/etc Total Sign Grand Total By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described display will be removed within 14 days from the date listed as the date of installation above. If the display is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 14th day to request an inspection to verify th;~moval of the banner. This inspection will begin the process to return the $100.00 ~ depositifr~~;I}jJJJ;1moved. . . ~/J61 (}Z/ ~ignature "'~ "r - { 9 Da~ ( ..- ;,.. :1 " . . BANNER PERMIT COMMUNITY SERVICES DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3753 INSPECTiON LINE: 726-3769 ~ B3liiierLocation: fl2(')I\'\ n 6 ~ '2.c:; 2 '3 \\-\A\\J~' "VAN NGiJ 1{f)J Tax Lot rro ( 00 Assessors Map #: :Owner.ofProperty: Address: ,C\,:lfO ~o ~ pfone II: (54' ') 741-, ~(')<A. t"lR "Zip:. 9)(-411-- \VIA '"'Co I..A . City: <;p 12.\ NI", Fi F.l. () 'Stiite:- ~ ^ Iii Uf'"N ContractorlIns'lliller: Address: SA", I"- - ~Phorie #: City: . State: ~ip: ' Construction Contractors Registration Number: Expires: Description: . . Date of Installation: ' d-'-J,Jpo \..( . !rAt) .~ MAll. 2.h. 0\ Date of Removal: Banner Permit Fee $IhoQ~ . Deposit Required $100.00 By signature, I state and agree that I have carefully completed this application and hereby certify that all infonnation herein is true and correct I further agree and understand that the above described banner (s) is not larger than 60 square feel, and will be removed within 14 days from the date listed above. If the banner(s) is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special penn it can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 14th day to request an inspection to verify the removal of the banner(s). This inspection wm""'(j!{;j;;~~'_"f.'b.m.*)..,=>-;", _ 94. 0/ ' Signature t/V7 r, Date --------------------------------------------------------------------. ----------------------------------------------------------- OFFICE USE Date of Application: . Job#: Receipt #: Issued By: Amount Collected: cJ.. 'is' &~ t200 . - ()r- (JIJ).f;1o -0;